Predictors of quality of life in women with a bilateral prophylactic mastectomy

被引:24
作者
Metcalfe, KA
Esplen, MJ
Goel, V
Narod, SA
机构
[1] Univ Toronto, Fac Nursing, Toronto, ON M5S 3H4, Canada
[2] Univ Toronto, Sunnybrook & Womens Coll Hlth Sci Ctr, Ctr Res Womens Hlth, Toronto, ON, Canada
[3] Univ Toronto, Hlth Network, Behav Sci & Hlth Res Div, Toronto, ON, Canada
[4] Univ Toronto, Dept Publ Hlth Sci, Toronto, ON, Canada
关键词
prophylactic mastectomy; quality of life; psychosocial;
D O I
10.1111/j.1075-122X.2005.21546.x
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The purpose of this study was to assess the quality of life in women who had previously undergone a bilateral prophylactic mastectomy and to determine what factors predict quality of life in this population. Women in Ontario who had undergone prophylactic mastectomy between 1991 and 2000 were asked to complete several questionnaires that assessed current psychosocial functioning, including the Quality of Life Index (QLI). The mean score for the QLI was 23.34 (range 9.53-30.00). QLI scores were negatively correlated with cancer-related distress, body image difficulties, and psychological distress. Conversely, QLI scores were positively correlated with social support. Significant predictors of quality of life included psychological distress and one subscale of body image (vulnerability). Vulnerability and psychological distress are important predictors of quality of life in women who have previously undergone bilateral prophylactic mastectomy.
引用
收藏
页码:65 / 69
页数:5
相关论文
共 34 条
[1]  
BAXTER N, 1997, BODY IMAGE BREAST CA
[2]   Graphs to estimate an individualized risk of breast cancer [J].
Benichou, J ;
Gail, MH ;
Mulvihill, JJ .
JOURNAL OF CLINICAL ONCOLOGY, 1996, 14 (01) :103-110
[3]  
Derogatis L.R., 1982, BRIEF SYMPTOM INVENT
[4]   QUALITY OF LIFE INDEX - DEVELOPMENT AND PSYCHOMETRIC PROPERTIES [J].
FERRANS, CE ;
POWERS, MJ .
ADVANCES IN NURSING SCIENCE, 1985, 8 (01) :15-24
[5]   RISKS OF CANCER IN BRCA1-MUTATION CARRIERS [J].
FORD, D ;
EASTON, DF ;
BISHOP, DT ;
NAROD, SA ;
GOLDGAR, DE ;
HAITES, N ;
MILNER, B ;
ALLAN, L ;
PONDER, BAJ ;
PETO, J ;
SMITH, S ;
STRATTON, M ;
LENOIR, GM ;
FEUNTEUN, J ;
LYNCH, H ;
ARASON, A ;
BARKARDOTTIR, R ;
EGILSSON, V ;
BLACK, DM ;
KELSELL, D ;
SPURR, N ;
DEVILEE, P ;
CORNELISSE, CJ ;
VARSEN, H ;
BIRCH, JM ;
SKOLNICK, M ;
SANTIBANEZKOREF, MS ;
TEARE, D ;
STEEL, M ;
PORTER, D ;
COHEN, BB ;
CAROTHERS, A ;
SMYTH, E ;
WEBER, B ;
NEWBOLD, B ;
BOEHNKE, M ;
COLLINS, FS ;
CANNONALBRIGHT, LA ;
GOLDGAR, D .
LANCET, 1994, 343 (8899) :692-695
[6]   Long-term satisfaction and psychological and social function following bilateral prophylactic mastectomy [J].
Frost, MH ;
Schaid, DJ ;
Sellers, TA ;
Slezak, JM ;
Arnold, PG ;
Woods, JE ;
Petty, PM ;
Johnson, JL ;
Sitta, DL ;
McDonnell, SK ;
Rummans, TA ;
Jenkins, RB ;
Sloan, JA ;
Hartmann, LC .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 284 (03) :319-324
[7]   Breast cancer survivors: Psychosocial concerns and quality of life [J].
Ganz, PA ;
Coscarelli, A ;
Fred, C ;
Kahn, B ;
Polinsky, ML ;
Petersen, L .
BREAST CANCER RESEARCH AND TREATMENT, 1996, 38 (02) :183-199
[8]  
Ganz PA, 2002, JNCI-J NATL CANCER I, V94, P39
[9]   Life after breast cancer: Understanding women's health-related quality of life and sexual functioning [J].
Ganz, PA ;
Rowland, JH ;
Desmond, K ;
Meyerowitz, BE ;
Wyatt, GE .
JOURNAL OF CLINICAL ONCOLOGY, 1998, 16 (02) :501-514
[10]  
GANZ PA, 1992, CANCER-AM CANCER SOC, V69, P1729, DOI 10.1002/1097-0142(19920401)69:7<1729::AID-CNCR2820690714>3.0.CO